Mr. Sanjay

General Physician, Pune

Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.

More about Mr. Sanjay

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Lybrate.com has a nexus of the most experienced General Physicians in India. You will find General Physicians with more than 25 years of experience on Lybrate.com. Find the best General Physicians online in Pune. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Your semen analysis gives results volume is ok
count at lower level of normal average motility less have some infection which shows wbc 8 to 10 you need some ayurvedic treatment for correcting your semen quality. Please send enquiry to me or consult me privately through Lybrate for my exclusive ayurvedic treatment by which your semen count and motility get improve above normal level free of infection without any sideffcts.

1.Take paracetamol 500mg, one tablet 2-3 times daily after food
2.Drink plenty of water
3.Take rest
4. If no relief do blood examination like CBC, Widal, Blood for mp and Dengue antigen(NS1) test after consulting doctor
5. Consult for further advice

Facial and bell's paralysis is loss of facial movement because of nerve damage. There can be many reasons for it. It can be due to any infection in nerve, any head injury, tumor, stroke, high bp leading to hemorrhage, any auto immune diease, the most common is ear infection or inflammation directly affecting your facial nerve as it passes through your ear. In physio we have very good treatment plan include:
muscle stimulator - stimulate / strength the weak muscles those are paralysed. Facial soft tissue manipulation, facial exercises, pnf, etc
so in general I would advice you to go for some treatment if possible visit some neurophysio who will guide you your treatment plan according to your problem.
Please follow:
1. Facial exercises like eyebrow raising, drawing, wrinkling, deep breath from nose, smiling, ballon filling, jaw moments etc
2. Using your fingers massage the entire area of massage with applying any cream or talcum. Guidance required from physio.
3. If not that weak then you can apply hot pack also for 10 mins.
Precautions:
1. Take eye care. Wash properly.
2. Use goggles when moving out from home.
3. Take mouth care.
4. While drinking or eating take care.
5. Guidance from neurophysio for life styl modifications.
6. If speech disturbed take opinion from speech therapist.
Please consult me if you do not understand any point.
Get well soon. Take care.

simple ways for a restful sleep
1. Cut down on caffeine: Caffeine drinkers may find it harder to fall asleep. Even a single cup of coffee in the morning may lead to a sleepless night. Caffeine blocks the effects of adenosine, a neurotransmitter thought to promote sleep. Caffeine can also interrupt sleep by increasing the need to urinate during the night. Because caffeine withdrawal can cause headaches, irritability, and extreme fatigue, it may be easier to cut back gradually rather than to go cold turkey. Those who can’t or don’t want to give up caffeine should avoid it after 2 p.m., or noon if they are especially caffeine–sensitive.
2. Stop smoking or chewing tobacco: Nicotine is a central nervous system stimulant that can cause insomnia. If you continue to use tobacco, avoid smoking or chewing it for at least one to two hours before bedtime.
3. Limit alcohol intake: Alcohol depresses the nervous system, so a nightcap may seem to help some people fall asleep. Alcohol suppresses REM sleep, and the soporific effects disappear after a few hours. Alcohol also worsens snoring and other sleep breathing problems.
4. Worry and stress causes sleeplessness. Find out what hurts you and resolve the issue.

I understand you mean to say that you feel tingling sensation in your feet. it is usually caused due to uncontrolled or fluctuating blood sugar levels. post lunch of 195 is high, it should be below 150. also the hba1c level should be less than 7 %. you might need a change in medicines for the same. secondly, avoid smoking/tobacco intake.

White spots on tonsils would be due to other types of infection or fungal infection As for as HIV is concerned​, do next and final HIV investigation after 365 days I.e. 12 months after the physical contact.

Premature ejaculation is very common and is usually not associated with any disease. However it is sometimes associated with infection of male accessory glands, which is treatable. If you want medicine for premature ejaculation, then ask through private question.